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WanderingBob

Member Since 15 Feb 2009
Offline Last Active Apr 04 2014 07:51 PM
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Posts I've Made

In Topic: Dive Destination while recuperating from shoulder surgery

30 January 2014 - 07:04 AM

 

OK Guys.  Thanks so much.  I was being WAY TOO optimistic and was hoping to utilize time off of work to play and get in some serious diving.  

 

The doctor was able to reattach long head of bicep (100% detached)), Reattached and repair supraspinatus (20% left, prior), Unable to attach supbscap, (but probably won't miss it) and reattach SLAP tear (50% detached).  What does this mean … IF I'M SMART … I'll probably have a fairly normal functioning shoulder for the next 15 years or so. Pretty exciting since I did this when I was 16 and have no idea what normal is.

 

I am 3 weeks out of surgery and will not be working for several months so I'll still take a trip to Thailand.  I've been cleared to snorkel if I can rig up a waterproof sling to stabilize and abduct elbow.  I'll figure it out.  Mainly, though, I'll play tourist, do some cheap exploratory tours and maybe take a sailing trip involving snorkeling,  

 

DiverDoug1 "interscalene nerve block for immediate post-op pain control. "  OMG, that was the bomb!  For the first time in my adult life, my upper traps and scalene muscle were not in spasm for a week!  Neither my neck nor shoulder hurt.  Highly recommended!

 

 

Thanks for all the input, maybe I'll get in some diving soon!  Off to Thailand in 2 weeks with no U/W kit nor dive gear.  Probably gonna be the easiest trip I'll ever make.


In Topic: Dive Destination while recuperating from shoulder surgery

21 November 2013 - 08:46 AM

 
Well, not to rain on your parade, but as specialist in chronic pain I see a fair number of repairs that remain painful, and a fair number of supraspinatus injuries that do well with physiotherapy and pain-killers. Rehabilitation with good physiotherapy and good perioperative analgesia could easily be as important as your surgeon in preventing long-term and intractable shoulder pain.
 
I've noticed that there's a tendency to treat musculoskeletal pain with analgesics and injections on the East coast of the USA, with surgery in the Midwest, and with psychology and exercise in California!

Repeated surgery for pain in the same or related areas of the body rapidly becomes ineffective, as the functional disturbance contributes more to the continued pain than the anatomical damage.

Thanks for the response.  I have been getting cook book advice from many professionals about my shoulder since I was 16 (original injury).  on one has really evaluated me and treated me.  

 

 I'm not as concerned about pain as loss of function.  Back in the day, I could do 100 pushups, Before my cervical fusion I could do 10, 1.5 yrs after the fusion, I can do one.  Yup, messes with my head a bit.  But I'm only 55, a mere baby and can no longer cast a fly rod.  I can no longer ice climb and do mountaineering … So, my plan is to fix the shoulder and fish and climb some more .. or move to a spot where I can slip into the water and get some relief.  No sense in being in AK year round if I'm hanging inside for 6 months a year.

 

Hence the query of finding a warm, inexpensive spot to recuperate and eventually hole up all winter ...


In Topic: Dive Destination while recuperating from shoulder surgery

20 November 2013 - 01:56 AM

I had acromioplasty, supraspinatus repair and bicep tenodesis. I was just trying to put the recovery into some sort of context. I hope it all goes well for you.

Thanks Steve.  Yeah, a supraspinatus repair is quite common, but usually heal nicely if you don't wait too long.  I'm curious why your doctor chose a tenodesis vs a SLAP repair?  Extent vs age of injury?

 

I keep hearing shoulders just hurt.  Regardless, it's time!

 


In Topic: Dive Destination while recuperating from shoulder surgery

20 November 2013 - 01:50 AM

I'm currently diving with an unhealed right collar bone. As they say in Python's Holy Grail "Its only a flesh wound"...but do not underestimate the load dive kit puts on the shoulders; kitting up, carrying kit around, holding the camera underwater.

 

Its uncomfortable, but not enough to stop me...

 

Ouch!  Fx clavicle with a rig on above water.

I had a cervical fusion last year and was not able to lift anything over my head, at all. My U/W photo kit is about 55lb inclusive, so I'd get on the plane first and wait til the isle slowed and picked on a young buff looking dude. "Hey. How's your neck and back?"  "Huh?" 
"Well, I can't lift the suitcase b/c I had neck surgery.  Would you mind?", I'd say 
"Hey, no problem", "Careful, it's heavy", I'd say.
" s%^#!, that's heavy!"
Had some nice people help me out all the way to Bahamas and back. The best part was the dive outfit I went with wouldn't let me lift a thing. I'd get in the water, they'd hand me my bcd and when I was ready, they'd hand me my camera.

Don't think I can do the same after shoulder surgery, but still trying to figure it out.

 


In Topic: Dive Destination while recuperating from shoulder surgery

18 November 2013 - 01:10 PM

 

I had an infraclavicular block (similar thing at a different place on the nerve) and it really does work well. I had the op at 6pm and discharged the following morning at 10am and had to stand up and give a eulogy that day at 1:30pm. I was exhausted at the end but didn't really have any pain to speak of.

 

I don't know that I'd call it a painful recovery. It's more that a lot of movements cause pain, especially trying to sleep. I slept on the couch for a couple of months because that stopped me from rolling on to my back which is painful when your arm slides back.

I was back working at the computer in short bursts in a few weeks. Use the other hand for the mouse and put the keyboard under the other hand to press the shift key, etc. It's more a journey of discovery of things that you can't do yet. This week I discovered that I can't throw a blanket on to the clothes line yet.

I can understand the desire to go somewhere warm to convalesce. Ironically, mine is just about all healed and we're coming up to your part of the world (mostly Fairbanks) for Christmas. We won't be diving there though. :)

Steve,  Thanks for the response.  But, you don't say what you had done. "I don't know that I'd call it a painful recovery."  What is "it"?

 

I will have cadaver transplants, meaning 4 areas of grinding periosteum down to bloody bone tissue in order to regenerate bone, tendon and muscle growth.  The periosteum is some of the most sensitive tissue in the body.  Regardless, there is NO Light Duty in my line of work.  I can't work on a computer.  If I can't save lives, I can't work … or need to find another source of income.

 

I've been up here for 10 yrs, and do not relish sliding on the ice even one time after having surgery.  Especially, she I consider how delicate the transplants are.